USPS PS 3600-FCM Template
United States Postal Service
Draft Redline 05/13/21
Postage Statement--First-Class Mail
and First-Class Package Service
Use this form for First-Class Mail and First-Class Package Service.
Permit Holder Name, Address, Email, Telephone
Mailing Agent (If other than permit holder)
Name, Address, Telephone
Post Office: Note Mail Arrival Date & Time (Do Not Round-Stamp)
Mail Owner (If other than permit holder)
Name, Address
Mailer
Mailing
Postage
Certification USPS Use Only
CAPS Cust. Ref. No.
CRID
CRID
CRID
Post Office of Mailing
Mailer's Mailing Date Federal Agency Cost Code
Statement Seq. No.
Permit #
No. and type of Containers
Sacks
Type of Postage Processing
For Mail Enclosed
Weight of a Single Piece
SSF Transaction ID#
Parcels Only Hold
Permit Imprint Precanceled
Category Letters
within Another Class Marketing Mail
.
pounds
For Pickup (HFPU) No. of pieces
1 ft. Letter Trays
Stamps
Flats
Bound Printed Matter Total Pieces
Total Weight
2 ft. Letter
Metered
Parcels
Library Mail
Customer Generated Electronic Labels
Trays
Move Update Method
Periodicals
Letter or flat-size mailpieces contain:
SigCon
EMM Letter Trays
Ancillary Service
Alternative Method
Media Mail
Round Trip ONLY: One DVD/CD or other disk.
For Automation Price Pieces,
Flat Trays
Endorsement NCOALink ACS
Multiple
OneCode ACS
n/a Alternative Address Format
Combined Mailing Single Class
This is a Political Campaign Mailing
Yes
No
This is Official Election Mail
Yes
No
Enter Date of Address Matching and Coding
/ /
Parts Completed (Select all that apply):
A
B
C
D
S
NSA
T 1
2 Price at Which Postage Affixed (Check one). Correct
Lowest
Complete if mailing includes pieces bearing metered/PC Postage.
3
Neither
Subtotal Postage (Add parts totals)
pcs. x $
.
= Postage Affixed -
Incentive/Discount Flat Dollar Amount -
F 4
Fee Flat Dollar Amount +
5 Permit #
Net Postage Due (Line 1 +/- Lines 2, 3, 4)
Pallets Other
A Additional Postage Payment (State reason)
For postage affixed, add additional payment to net postage due; for permit imprint, add additional payment to total postage.
R Postmaster: Report Total Postage in AIC 121 (Permit Imprint Only)
Postmaster: Report Total Postage in AIC 128 (Permit Imprint Only)
Total Adjusted Postage Affixed
Total Adjusted First-Class Mail Postage Permit Imprint Total Adjusted First-Class Package Service Postage Permit Imprint
Incentive/Discount Claimed:
Type of Fee:
D The mailer's signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal. If an agent signs this form,
the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is bound by the certification and agrees to pay any deficiencies. In addition,
agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on this
form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and that the mailing qualifies for the prices and fees
claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this
form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.
Privacy Notice: For information regarding our Privacy Policy visit .
Signature of Mailer or Agent
Printed Name of Mailer or Agent Signing Form
Telephone
Weight of a Single Piece
.
pounds
Total Pieces
Total Weight Total Postage
Are postage figures at left adjusted from mailer's
entries?
Yes
No If yes, reason:
Round Stamp (Required) Payment Date
Presort Verification Performed? (If required) Yes
No
I CERTIFY that this mailing has been inspected for each item below if required: (1) eligibility for postage prices claimed; (2) proper preparation (and presort where required); (3) proper completion of postage statement; (4) payment of annual fee; and (5) sufficient funds on deposit (if required)
USPS Employee's Signature
Date Mailer Notified
Contact
By (Initials)
Time
Print USPS Employee's Name
AM PM
USPS Use Only
To be completed in non-PostalOne! sites
PS Form 3600-FCM, August 2021 (Page 1 of 6) PSN 7530-13-000-5569
This form and mailing standards are available on Postal Explorer at pe..
First-Class Mail
Part A -- Automation Price
Postcards (eligible for postcard price)
A1 5-Digit A2 AADC A3 Mixed AADC
Price
No. of Pieces
Subtotal Postage
Discount Total*
Fee Total
Letters
A4 5-Digit A5 AADC A6 Mixed AADC
Price
No. of Pieces Subtotal Postage
Discount Total*
Fee Total
Flats
Price
No. of Pieces Subtotal Postage
Discount Total*
Fee Total
A7 5-Digit A8 3-Digit A9 ADC A10 Mixed ADC
* May contain both Full Service Intelligent Mail and other discount--see Instructions page for additional information.
T A11 Part A Total (Add lines A1 -- A10)
Full Service Intelligent Mail Option
F A12
DISPLAY ONLY
A13
DISPLAY ONLY
DRA A14
DISPLAY ONLY
Postcards -- Number of Pieces that Comply ____________ x $0.003 Letters -- Number of Pieces that Comply ____________ x 0.003 Flats -- Number of Pieces that Comply ____________ x 0.003
Total Postage Total Postage Total Postage
PS Form 3600-FCM, August 2021 (Page 2 of 6)
First-Class Mail
Part B -- Nonautomation Price
Postcards (eligible for postcard price)
B1 Presorted B2 Single-Piece
Price
No. of Pieces Subtotal Postage Discount Total Fee Total
Machinable Letters
B3 AADC
B4 Mixed AADC
Residual
B5
From First-Class Mail Mailing (Includes up to 1 oz. and between 1 oz. and 3.5
oz.)
B6 Nonpresorted/Single-Piece*
B7
Single-Piece From USPS Marketing Mail Mailing
Nonmachinable Letters
B8 5-Digit B9 3-Digit
B10 Mixed ADC
B11 Nonpresorted/Single-Piece*
B12
Single-Piece From USPS Marketing Mail Mailing
Flats
B13 Presorted
B14 Single-Piece
B15
Single-Piece From USPS Marketing Mail Mailing
Permit Reply Mail
B16
Single-Piece Letters (1 oz. or less)
B17
Single-Piece Letters (over 1 oz. to 3.5 oz.)
B18
Single-Piece Flats (1 oz. or less)
B19
Single-Piece Flats (over 1 oz. to 13 oz.)
Price
No. of Pieces Subtotal Postage Discount Total Fee Total
Price
No. of Pieces Subtotal Postage Discount Total
FT Price
No. of Pieces Subtotal Postage Discount Total
DRA Price
No. of Pieces Subtotal Postage Discount Total
Fee Total Fee Total Fee Total
* First-Class Mail metered letter price ** Only on FCM letters with one or more nonmachinable characteristics
Total Postage Total Postage
Total Postage Total Postage Total Postage
B20 Part B Total (Add lines B1 -- B19)
PS Form 3600-FCM, August 2021 (Page 3 of 6) PSN 7530-13-000-5570
First-Class Package Service
Part C -- Parcels
Commercial Parcels less than 16 oz. (1 lbs.)
Zone
C1
1 & 2
C2
3
C3
4
C4
5
C5
6
C6
7
C7
8
C8
9
C9
Irregular shape surcharge
Price
No. of Pieces
Subtotal Postage
Discount Total
Fee Total
Commercial Parcels -- NSA
Zone
Price
No. of Pieces Subtotal Postage
Discount Total
Fee Total
C10
1 & 2
C11
3
C12
4
C13
5
C14
6
T C15
7
C16
8
C17
9
F C18
Irregular shape surcharge
Commercial Parcels -- NSA
Zone
A C19
Single-Piece
C20
Irregular shape surcharge
Price
No. of Pieces
Retail Parcels 13 oz. (0.8125 lbs.) or less
R Zone
C21
1 & 2
Price
No. of Pieces
C22
3
D C23
4
Subtotal Postage Subtotal Postage
Discount Total Discount Total
Fee Total Fee Total
C24
5
C25
6
C26
7
C27
8
C28
9
Retail Parcels 13 oz. (0.8125 lbs.) or less from USPS Marketing Mail
Zone
C29
1 & 2
Price
No. of Pieces Subtotal Postage
Discount Total
C30
3
C31
4
C32
5
C33
6
C34
7
C35
8
C36
9
Fee Total
C37 Part C Total (Add lines C1 -- C36)
PS Form 3600-FCM, August 2021 (Page 4 of 6)
Total Postage Total Postage Total Postage Total Postage Total Postage
Round Trip DVD, CD, or Other Disc Mail
Part D -- Round Trip Mailing that Contain a DVD, CD, or Other Disc
Automation Letters
D1 5-Digit D2 AADC D3 Mixed AADC
Price
No. of Pieces Subtotal Postage
Discount Total*
Fee Total
Presort Letters
D4 Presorted D5 Single-Piece
Price
No. of Pieces Subtotal Postage
Discount Total
Fee Total
Automation Flats
Price
No. of Pieces Subtotal Postage
Discount Total*
Fee Total
D6 5-Digit
D7 3-Digit
D8 ADC D9 Mixed ADC
Presort Flats
D10 Presorted
T D11 Single-Piece
Price
No. of Pieces Subtotal Postage
Discount Total
Permit Reply Mail
F D12
Single-Piece Letters (1 oz. or less)
D13
Single-Piece Flats (2 oz. or less)
Price
No. of Pieces Subtotal Postage
Discount Total
A * May contain both Full Service Intelligent Mail and other discount--see Instructions page for additional information.
Fee Total Fee Total
D14 Part D Total (Add lines D1 -- D13)
R Full Service Intelligent Mail Option
D15
DISPLAY ONLY
D D16
DISPLAY ONLY
Letters -- Number of Pieces that Comply ____________ x $0.003 Flats -- Number of Pieces that Comply ____________ x 0.003
Total Postage Total Postage Total Postage
Total Postage Total Postage
PS Form 3600-FCM, August 2021 (Page 5 of 6) PSN 7530-15-000-7023
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